The Eyelid Doc, Inc.

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

A29218 Issued in CA

Legal business name

THE EYELID DOC, INC.

Practice address

5901 Encina Rd Ste C3
Goleta, CA 93117-2272

Phone

(805) 565-5700

NPI assigned

Aug 15, 2016

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Joseph Chang, MDNPI 1306959259

Title

President

Phone

661325393937

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Joseph Chang, MD

  • Ophthalmic Plastic and Reconstructive Surgery Physician
  • Bakersfield, CA
  • NPI 1306959259

  Single Specialty

  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1471219200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1471219200000",
    "number": "1265986699",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 20831",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933900831",
            "telephone_number": "661-325-3937",
            "fax_number": "661-283-3937"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5901 ENCINA RD STE C3",
            "city": "GOLETA",
            "state": "CA",
            "postal_code": "931172272",
            "telephone_number": "805-565-5700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE EYELID DOC, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-15",
        "last_updated": "2016-08-15",
        "status": "A",
        "authorized_official_last_name": "CHANG",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "661325393937",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": "CA",
            "license": "A29218",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1306959259",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jane Frances Taylor, LMFT
• Kathleen M Taylor, PHD
• Jordan Philip Tennison
• Amy Marie Tetalman, M.A., MFT
• The Devereux Foundation - California
• The Medcenter, Inc.
• The Phoenix House of Santa Barbara
• John Michael Thompson, DDS
• Thrifty Payless Inc (Rite Aid Pharmacy 05791)
• Elise Claire Tomko

• Ophthalmology Physician in Goleta, CA
• Providers in Goleta, CA by specialty
• Ophthalmology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.